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1790131977
SHAWNA B RILEY
FARMINGTON, NM
NPI
1790131977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0154441)
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
-- SHAWNA B RILEY LADAC
1313 MISSION AVE
FARMINGTON, NM 87401
Phone number: 505-327-7218
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Mailing Address
-- SHAWNA B RILEY LADAC
6709 PECOS ST
FARMINGTON, NM 87402-5171
Phone number: 505-320-5553
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